{"version":"0.4","data":[{"t":"Demographics","q":[{"name":"REVA C HASH","gend":1,"add":"300 S WAYNE ST APT 228","city":"WAYNESBORO","state":"VA","zip":229809999,"dob":"1953-10-23","age":"","mstatus":"","insh":11006753,"cliId":"2G66G28EN74","pno":5402212681,"cno":5402725996,"email":"","ename":"","eno":"","pphy":"SEATON, SCOTT M","ppno":5409421200,"pcpadd":"15 Pratts Run","pcpcity":"Waynesboro","pcpstate":"VA","pcpzip":229806606,"pcpcounty":"WAYNESBORO CITY","pcpid":"P0060086","pcpname":"UVA WAYNESBORO PRIMARY CARE"},{"a":{"indx":["1","","","","","","",""],"comment":["","","","","","","",""],"sub":[]}},{"a":[]}]},{"t":"Curent Condition \/ Suspect Codes","q":[{"a":{"diag":["M47.814","M25.511","M19.011","G89.29","Z00.00","L30.1","G89.4","M17.11","M17.31","M25.561","M23.51","H25.13","D17.79","D17.20","R22.31","Z98.890","M43.22","Z98.1","D17.21","Z01.810","M81.0","M85.80","Z12.31","Z78.0","N99.3","N39.46","M54.5","N81.11","M67.921","M75.21","M25.552","M16.0","M25.559","M16.12","M67.854","M24.852","M24.152","M76.02","M76.892","M70.62","M70.72","S76.012D","M79.18","M54.9","M54.2","M25.519","E78.2","Z20.828","M41.9","R79.89"],"date":["2019-02-27","2019-10-01","2019-10-01","2019-10-01","2020-06-25","2019-03-22","2020-07-10","2019-04-22","2019-11-15","2019-07-17","2019-04-22","2020-08-31","2019-05-28","2019-05-28","2019-05-07","2019-07-01","2019-07-01","2019-07-01","2019-07-10","2019-05-28","2019-05-31","2019-05-31","2020-09-15","2019-05-31","2019-08-07","2019-08-07","2019-08-07","2019-08-07","2019-10-01","2019-10-09","2020-05-27","2019-12-16","2019-12-16","2020-02-12","2020-01-17","2020-01-17","2020-01-17","2020-05-27","2020-02-12","2020-06-12","2020-05-27","2020-02-12","2020-07-10","2020-03-06","2020-03-06","2020-03-06","2020-06-25","2020-06-25","2020-07-10","2020-10-26"]}},{"a":[]}]},{"t":"Covid Screening","q":[{"a":[]}]},{"t":"Screenings","q":[[["No","Select","",false,""],["No","Select","",false,""],["No","Select","",false,""],["Yes","Select","",false,""],["No","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""],["Select","Select","",false,""]]]},{"t":"Self-assessment & Social History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Activities of Daily Living","q":[{"a":[]}]},{"t":"Medical History","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Family History","q":[{"a":[]}]},{"t":"Preventive Care","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Allergies \/ Medications","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Review of Systems","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Pain","q":[{"a":[]}]},{"t":"Vital Signs","q":[{"a":[null,null,null,null,null,null,""]},{"a":[0,"","",0,{"txt":""},{"malnutrition":[]}]}]},{"t":"Exam Review","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"Mini-Cog","q":[{"a":[]}]},{"t":"Home Safety","q":[{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]},{"a":[]}]},{"t":"icd-10","q":[{"a":[]}]},{"t":"Patient Summary","q":[{"a1":"","a2":"","a3":"","a4":"","a5":"","a6":"","a7":[],"a9":"","a10":[],"a11":""}]}]}